老年癌症幸存者中的蔬菜园艺和健康结果:一项随机临床试验
Wendy Demark-Wahnefried1, Robert A Oster2, Kerry P Smith3
1Department of Nutrition Sciences, University of Alabama at Birmingham.
JAMA network open
|June 20, 2024
概括
在老年癌症幸存者中,家庭蔬菜园艺干预改善了水果和蔬菜摄入量,身体表现和感知健康,尽管复合指数显示没有显著变化. 需要进一步的研究来确认益处.
科学领域:
- 老年学是指老年学的学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 营养科学 营养科学
- 运动生理学 运动生理学
背景情况:
- 癌症幸存者经常面临加速的功能衰退,影响独立性和生活质量.
- 以前的研究表明,蔬菜园艺可以提高饮食,体力活动,和功能在这个人群.
- 老年癌症幸存者代表了一个重要的和脆弱的人口,需要有针对性的健康干预措施.
研究的目的:
- 评估家庭蔬菜园艺干预对老年癌症幸存者的饮食,身体活动和身体功能的影响.
- 为了比较分配到园艺干预和等候名单对照组的幸存者之间的结果.
- 评估二次结果,包括感知健康和肠道微生物群多样性.
主要方法:
- 一个双臂,交叉设计的随机临床试验,涉及381名老年癌症幸存者.
- 参与者被分配到一年的蔬菜园艺干预或等候名单控制.
- 结果包括饮食,体育活动,身体功能,血生物标志物,加速度计和体能测试的综合指数.
主要成果:
- 园艺干预并没有显著改善饮食,体力活动和身体功能的综合指数.
- 干预组的参与者显示蔬菜和水果消费量显著增加.
- 与等待名单组相比,在身体表现,感知健康和肠道微生物群多样性方面观察到显著的改善.
- 由于COVID-19的流行,干预对身体功能的影响有所缓和.
结论:
- 在老年癌症幸存者中,蔬菜园艺干预显著增加了蔬菜和水果的摄入量,改善了身体表现和感知健康.
- 干预措施并没有显著改善饮食,体力活动和身体功能的综合指数.
- 需要在不同人群和非流行病期间进行进一步的研究,以确定园艺干预对癌症幸存者的最终益处.
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